15-01067_DD_254_(1)_Signed.pdf

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

CONFIDENTIAL

b. LEVEL OF SAFEGUARDING REQUIRED

CONFIDENTIAL

2. THIS SPECIFICATION IS FOR: (x and complete as applicable) 3. THIS SPECIFICATION IS: (x and complete as applicable)

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)

DATE (YYMMDD)

20160526

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs)

Revision No. DATE (YYMMDD)

c. SOLICITATION OR OTHER NUMBER

FD2060-15-01067

DUE DATE (YYMMDD)

c. FINAL (Complete Item 5 in all cases)

DATE (YYMMDD)

4. THIS IS A FOLLOW-ON CONTRACT? YES NO. If Yes, complete the following:

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? YES NO. If Yes, complete the following:

In response to the contractor’s request dated , retention of the identified classified material is authorized for the period of

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

TBD

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

N/A

b. CAGE CODE

N/A

b. COGNIZANT SECURITY OFFICE (Name, Address, and Zip code)

N/A

8. ACTUAL PERFORMANCE

a. LOCATION

N/A

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE(Name, Address, and Zip Code)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Purchase AN/ALQ-184 (V) ECM System Data and Material

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR’S

FACILITY OR A GOVERNMENT ACTIVITY

b. RESTRICTED DATA b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

d. FORMERLY RESTRICTED DATA d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. INTELLIGENCE INFORMATION: e. PERFORM SERVICES ONLY

(1) Sensitive Compartmented information (SCI)

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

(2) Non-SCI

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

f. SPECIAL ACCESS INFORMATION h. REQUIRE A COMSEC ACCOUNT

g. NATO INFORMATION i. HAVE TEMPEST REQUIREMENTS

h. FOREIGN GOVERNMENT INFORMATION j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. LIMITED DISSEMINATION INFORMATION k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

j. FOR OFFICIAL USE ONLY INFORMATION

l. OTHER (Specify)

k. OTHER (Specify)

DD Form 254; DEC 99 Previous editions are obsolete. 805/340

1229928453C Typewritten Text

1229928453C

XX See Item 13

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the industrial

Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release

Direct Through (Specify):

78 ABW/PA

125 MLK JR BLVD

Robins AFB, GA 31098 to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.

*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for this classified effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

Ref. 8.a & 11c.: Contract performance will occur at the contractor’s facility listed in block 6.a.. The following security classification guide applies to this effort: AN-ALQ-184 (V) Security Classification Guide, dated 12 May 2011.

Ref. 10.j.: FOUO information provided under this contract shall be safeguarded as specified in DoDM5200.01-V4, DoD Information Security Program: Controlled Unclassified Information.

Ref. 11.d.: The hardware is of a size and/or quantity that can be stored in a standard (2 cubic feet) container.

Ref. 11.j.: The contractor will be provided critical information under separate cover, if applicable.

USAF PROGRAM MANAGER SECURITY OFFICE USAF SERVICING SECURITY ACTIVITY

Troy Cannon Lawrence Braker Melvese Harris Logistics Manager Security Specialist Industrial Security Specialist

408 SCMS/GULA 448 SCMW/OMO-R 78 ABW/IPD

235 Byron Street, Suite 19-A 235 Byron Street, Suite 19-A 985 Macon Street Robins AFB, GA 31098-1813 Robins AFB, GA 31098-1670 Robins AFB, GA 31098

(478)327-6605 DSN 497-6605 (478)222-3367 DSN 472-3862 (478)222-1977 DSN 472-1977

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. (If Yes, identify the Yes No pertinent contractual clauses in the contract document itself, or provide any appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific Yes No areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below.

a. TYPED NAME OF CERTIFYING OFFICIAL

b. TITLE

c. TELEPHONE (Include Area Code)

d. ADDRESS (Include Zip Code)

17. REQUIRED DISTRIBUTION

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

e. ADMINSTRATIVE CONTRACTING OFFICER

f. OTHERS AS NECESSARY 78ABW/IPD, 448 SCMW/OMO-R

e. SIGNATURE

1065249908C

John W. Middlebrooks

1065249908C Typewritten Text Contracting Officer

1065249908C Typewritten Text 468-7161

1065249908C Typewritten Text

AFMC AFSC/PZABB

235 Byron Street, Suite 19-A Robins AFB, GA 31098